Mancuso, Paul Anthony

Mancuso, Paul Anthony is an individual health care provider with primary practice located at 2501 N Orange Ave Ste 240 , Orlando FL 32804-4641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Mancuso, Paul Anthony can be contacted via phone (407) 303-2615.

Contact Information

Primary practice address
2501 N Orange Ave Ste 240 Orlando FL 32804-4641
Phone: (407) 303-2615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X ME90970 Florida

Profile Details

NPI number 1497718233
LBN Legal business name Mancuso, Paul Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Nov 23rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497718233 NPPES
Florida MEDICAID 271059500

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